HomeMy WebLinkAboutPermit Building 1988-5-7 (2)
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Legal Description /10 R :3 ( C{;) 00 {( 2-
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Construction Lende' -70/'7- 5'3:S-.:?
IINSrECTlON"tItIE
726-3769
.
Job Address
Owner'
Address
Address
Ut.~l(jN n.Ar~
(name)
Primary
Structural
Electrical
Mechanical
CONTRACTORS
(name) J
4ll.rA:'bI
~-
(address) (1ic~. no.)
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(ohnnp n('l 1
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General
Plumbina
Electrical
~'echanical
PLU1,IBING
-.l!Q.,.1
Each single fixture
CITY Uf SPRINGfIELD
COMBIIIATION APPLICATION/PERMIT
EIIERGY SOURCES:'
Heat
Hater Heater
Range
ValuE of l'lork~
r
~
Phone
(address)
ELECTRICAL
.
INfOR/lATlDN liNt
726-l75l
Sq. Ftg. I'lain
~q. Ftg. Access.
Sq. Ftg, Other
flew Add Alter Rep,
--Fence Oemo Change/Use
Other -- --
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BuildinQ Permit Info: Describe Work(i.e.. Build Single
F(i;;;;e;:l/ A;:?; Ga;:)-P-v
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(lllics, no,)
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(exn;res)
(ohane no.
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...
(.pxnirps)
oS L(6 7
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MECHANICAL
fff rHARr.F Nn~1 """ r"MGE. _lill....!
Residence of furnace/burner to
SQ. FT. BTU's
I:'~~ r':fARG.E..
/ aR/6A~~ 5'"s. "<'1'__ 700
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TOTAL CHARGES J(?pv. 1"5". - TOTAL CHARGES TOTAL CHARGES
WHERE STATE L,"~ REQUIRES that the Electrical work be done by an, Electrical Contractor, the electrical portion of this pemit
shall not be valid until the label has been signed by an Electrical Supervisor and returned to the Building Division
Relocated building
(new fix, additional)
S.F. Residence
(1 bath)
Duplex (1 bath) each
Additional bath
~Iater servi ce
Sewer
Storm Sewer
Temporary Construction
Change in existing
rpc:1 (tPJlrp
Imultifamily. COITl!l. or
Inrlustrial
IDf
ICOW1./IND. FEEDERS
l'Install/alter/relocate
rlidrHL fpprlpr<:
10f
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New circuits alts.
or extensions
SERVICES
Floor furnace
and vent
Recessed wall
So~rp hp~tpr ~nrl vpnt
amps.
Appliance vent
c;,poaratp
Stationary evap.
cooler
Vent fan wi th
5inole duct
Vent system apart
heatina or A.C.
Mechanical exhaust
hood "nd r1urt
from
Wood stove/heater
amps.
I SSUANCf OF PFRfllT
I HAVE CAREFULLY EXAMINED the completed application for permit. and do hereby certify that all information hereon is true
and correct. and I further certify that any and all work oerformed shall be done in accordance with the Ordinances of the City
of Springfield and the Laws of the State of Oregon pertaining to the work described herein. and that 110 OCCUPAIKY wi 11 be made
of any structure without the permission of the Building Division. I further certify that my registration with the Builder's
Board is in full force and effect as required by ORS 701.055. that if exempt the basis for exemption is noted hereon. and that
only subcontractors and employees who are in compliance with ORS 701.055 will be used on this project.
IIM1E(please print)
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s'TUL-7S
Zone ~
Fi re Zone
Flood Plain
Tyoe/Const. ::r~~
Bedrooms
Stories
-:2
SIr.IIATUR~Jn')~~ DAT~-#8'r
fO~ OfFICE usi ~~Y .. / ' /
Sq. Ftg. liain ;?~~z.,--~ x Value ::;(C::>~.--
Sq. FtQ. Access x Value
Sq, Ftg. Other~Y./~_x~9" Value;r,
TOTAL VALUATION
Units
Occy Load
Occy Group_ 1f- -:2...
t1)
Conm/lnf'-
Ppr Fpp
Res
Per Fee
BUILDING PERfIIT
Charges and """"
Surcharges ..-
':7 Plan Ck,
.:/,::?-SC> 65%/Rldo
------------ Plan Ck,
/- ~;; lD%/Blda
PLUMBING PERMIT ,,~ ~
~~~~~:~g:~d ~ --J-~~7S--
ELECTRICAL PERI~lT
Charges and ------------
Surc~~rge~.. .
MECHANICAL PERHIT
Charges and
Surcharges
Fence
OfjlflO
'Sidewalk
,AjC Paving Q
Curb Cut 'Z" 7'tP' '.
I).
_0
5-C(-ri
;'1f. 1ft/fir- syste, ms Development
~ ,/::3 r'r..'J Charoe (1.5~) ,
,
#.#
3''4-.>8
;;if:;;>-~
~
_. .Total.. Comb.. Permit
I Fl. 38
111'I.~g
..
TOTAL
.
COMBINATION APPL!CATION/PERMIT (CAP)
I. Applicant to furnish
A. Job Address '
B. Legal Oescription
1. examPle- Tax Lot 100, Lane County Map Reference
17 U3 43
2. examele- Lot 1. Block 3, 2nd Addition to
~prlngtield Estates
C. Name, etc. of owner and construction lender
O. Energy Sources
1. examole- heat/electrical ceilinq/or forced airl qas
2. exa~le- waterheater/electrical/or solar
E. Square footage or valuation, etc. -----
I. example- 1250 sq. foot house, 500 sq. foot garage
2. exa~le~ if new project. check new - if addition.
check, add, etc.
F. Building 'pennit information:
1. example - construct single family house with an
attached garage
2. example - remodel existing garage into family room
3. examele - convert single family residence into
restaurant (change of use)
G. Value of work as defined in Section 303 (a) of the'
Structural Specialty Code
H. DESIGN TEAM AND CONTRACTORS
To avoid design or construction delays, Building
~ivision Staff must be able to contact appropriate
persons regarding design information or job site
corrections. etc.
II. Abbreviated Plumbing. Mechanical, & Electrical Schedules
A. Except where blank spaces occur in the description
portion of the Mechanical and Electrical Schedules,.
the applicant need fill-in only the No. Boxes adjacent
to the appropriate item(s) to be installed
B. Full Plumbing, Mechanical, and Electrical Schedules
are available at the Building Division
1. To conserve space on the permit form the schedules
have been abbreviated
2. I f the item( s) to be install ed are not covered on
the abbreviated schedules you should consult the
full schedules
C. BUILDING DIVISION STAfF WILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULES
D. As noted on the CAP, the label must be delivered to the
electrical" contractor for signature by his electrical
supervisor. The general contractor is .not authorized
to sign the electrical label. ---
III. Applicant to sign and date
Whenever possible, the initial application will be used as
a worksheet only. Where possible, Building Division Staff
will prepare ai~type written copy and return it to the
applicant at the time the actual permit is issued for his
signature. I
IV. Fees and Charges
Plan check fees are due and payable at the time of the
application, and no plans will be processed until these
fees are paid.! All other fees and charges are due and
payable when the permit is issued.
.
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PERMIT VALIDATION
, .
Permit Clerk cJ" C-K. J~
'12. e r.o 0 ..<:It.,p:; 11 '53<-7
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
V. FOR OfFICE USE i,ONLY
<
~erinit applidnt exempt from'registration with the Builder's Board because:
.'
Additional Projec~ Information:
PLANS REVIEWED BY:
naineYR..</~A- ~~
signatu're ~ .,~~
. /# . ~
date S-:-1/-8~
c.
.
~
.. .quir~d
Inspectrs ..
IT IS THE RESPONSIBILITY OF Tllli PE~~IT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE PROPER TIME,
THAT EACII ADDRESS IS READABLE FROM TIlE STREET, AND TllAT Tllli PERl'fIT CARD IS LOCATED AT TilE FRONT OF THE
PROPERTY. BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TIllES,
PROCEDURE FOR REQUESTING INSPECTIONS, Call 726-3769 (recorder) state you CITY DESIGNATED JOB NUMBER,
job address. type of inspection requested and "1hen you will be ready for the inspection. Contractors
or owners name and phone number. Requests received before 7:00 am,will be ~~de the same day. requests
received after 7:00'am will be made the followin~ work day.
Your City Designated Job Number Is :9R<::>5 88
Job Address: "3.8 3/ ,/-:?-!/A/ 57
Owner:~Afl(' C:.;7~'-- r<
Contractor:
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SITE TNSPECTION: To be made
after excavatiOn, but prior
to setup of foms.
UNDERSLAB PLUMBINGt ELECTRICAL
& ~ffiCHANICAL: To be made before
any work is covered.
CONCRETE SLAB INSPECTTON: To be
made after all inslab building
service equipment, conduit. piping,
accessories and other ancillary
equipment items are in place but
before any concrete is poured.
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FOOTINGS & FOUNDATIONS: To be made
after trenches are excavated and
forms are erected, all steel in
-place, but prior to pouring concrete.
UNDERGROUND: t!-;;rry~?n~ Electrical,
Gas, Sanitary _Sewer. Storm Sewer,
Water and ~n30'p. line"). To be
made prior to covering or filling
trenches.
UNDERFLOCR: . Plumbing, Electrical,
Mechanical. To be made prior to
installation of floor insulation,
decking or floor sheathing.
POST & BEAM: To be made prior to
installation of floor insulation,
decking or floor sheating.--,
FLOOR INSULATTON & VAPOR BARRIERS:
To be made prior to installation
of decking or floor sheuting.
MASONRY: Steel location, bond beams
grouting or verticals in accordance
with U.8.C. Section 2415.
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ROOF SHEATHING k~D NAILING: Prior
to installing any roofing.
ROUGH PL~mING. ELECTRTCAL &
MECHANCIAL: No work is to be covered
until these inspections have been
made and approved.
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FINAL PLUMBING
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CITY1S SITE PLAN REVIEW BOARD INSPECTION: Must be requested 2 days in advance of the date you
wish inspection. All project conditions such as landscaping, parking lot striping etc. must
be com~leted before requesting this inspection.
FINAL ELECTRICAL
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fINAL BUILDING: Must be requested after the final Plumbing. Electrical, Mechanical and Fire
Department inspections are made and approved. No Occupancy of the premises can be made until
a Certificat7 of Occupancy has been issued by the Building Division and posted on the premises
FINAL ~lECHANICAL
\',-\
FINAL FIRE DEPAR~IENT
SIGNATIlRJ:'
Phone: ?<I?-S3S-"3"
Phone:
ATTIC DRAFT STOPS & CURTAIN WALLS.
FIREPLACE: Prior to placing facing
materials and before framing
inspection.
INSOLATION & VAPOR BARRIER: To be
made aftor all insulation and
required vapor barriers are in place
but before any lath or gypsum board
interior wall covering is applied.
FRAMING: To be made after the roof,
all framing, fire blocking and
bracing are in place and all pipes,
chimneys and vents are complete and
the rough electrical, plumbing and
heating wires. pipes and ducts are
approved.
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LATH AND/OR GYPSUM BOARO INSPECTION: :J
To be made after all lathing and
g)~sum board, interior and exterior,
is in place but before any plasteriTJ;E :J
is applied or before gypsum board
joints and fasteners are taped and
finished.
FIRE & SEPARATION WALL: Located &
constructed according to plans.
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WQODSTOVES: After installation is :J
completed:
SIDEWALK & DRIVEWAY: Required for
all concrete paving within street
right-of-way, to be made after all
excavating complete & form work &
sub-base material in place.
CURB AND APPROACH APRON: After forms
are erected but prior to pouring
c02\rrte.
PARKING LOT: After gravel is in
place but prior to placing asphalt
or concrete.
'SPECIAL INSPECTIONS: In accordance with
Section 306 of the Building Code a special
inspector shall be employed.by the Ownerl
Contractor during construction of the
following work. A copy of the special
testing reports shall be furnished to the
Building Division.
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STRUCTURAL CONCRETE: In excess of 3000
',S.I. (306 a,I)
STRUCTUR4L WELDS: Preformed on the
job. (2722 f)
HIGH STRENGTH BOLTING: During all ~
bolt installation and tighting
operations (306 n.5)
SPRAYEO ON FIREPROOFING: (O.B.C.
Standards 43~8)
SPECIAL GRADINGt EXCAVATION AND
FILLING: During earthwork. (306 8.11
& Chapter 29)
GLU-LAM BEN1S: Inspection Certificate,
by an approved agency, furnished to
the City's Building Division before
beams are placed. (2501-U.B.C. STDS.
2S-IO.ll) .
*In addition to the inspections
specified hereon, the Building
Official ~ay make or require other
inspections of nny construction
work to ascertain compliance with
the Building, City or Zoning Codes.
DATE
* ALL MANHOLES ANO CLEANOUTS MUST BE .\CCESSIBLE. ADJOS'lMENT TO BE ~IADE AT NO COST TO THE CITY.